Individual
KAYLA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1702 1/2 W PERU ST, PRINCETON, IL 61356-8826
(815) 872-2119
Mailing address
424 W MADISON ST, OTTAWA, IL 61350-2833
(815) 872-2119
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/13/2014
Last updated
07/29/2016
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